Active NPI
CVS Pharmacy Inc.
Doing business as CVS Pharmacy #
- Community/Retail Pharmacy
- Mission, TX
National Provider Identifier
1306920996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30509
- Legal business name
- CVS PHARMACY INC.
- Doing business as
- CVS Pharmacy #
- Practice address
- 2427 E Interstate Highway 2
Mission, TX 78572-8354 - Phone
- (956) 928-7281
- Fax
- (956) 928-7291
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 30509 | TX | Primary |
Addresses
Primary practice location
2427 E Interstate Highway 2
Mission, TX 78572-8354
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099490 | Other | PK |
Other names 1
- CVS Pharmacy #
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20161208000207 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Mission, TX |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Frisco, TX
- NPI 1295316388
-
- Pharmacy
- Fulshear, TX
- NPI 1295691053
Locations
2427 E Interstate Highway 2
Mission, TX 78572
Phone (956) 340-2204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Mission, TX
- NPI 1659965895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1306920996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 E INTERSTATE HIGHWAY 2",
"city": "MISSION",
"state": "TX",
"postal_code": "785728354",
"telephone_number": "956-928-7281",
"fax_number": "956-928-7291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "30509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2099490",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mission, TX
- CSL Enterprises Inc. (First Class Medical Supply)
- Alexander Cuellar, MS, OT
- Ryan Foster Curtis, D.M.D
- CVS Pharmacy Inc (CVS Pharmacy #07193)
- CVS Pharmacy Inc (CVS Pharmacy #10107)
- D L Stinson, LLC (The Center for Primary Care and Wellness)
- D P Hernandez Mdpa
- Daniel Mego Family Clinic LLC
- David a. Mayorga, M.D.,P.a.
- David Gomez M D PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.